University of Michigan, School of Public Health, Department of Health Behavior & Health Education, Ann Arbor, MI 48109-2029, USA.
Ethn Dis. 2010 Summer;20(3):276-81.
To test the efficacy of using hair stylists as lay health advisors to increase organ donation among African American clients.
This study was a randomized, controlled intervention trial where we randomized 52 salons (2,789 clients) to receive a 4 session, stylist-delivered health education program (comparison) or a four session brief motivational intervention that encouraged organ donation (intervention). Intervention stylists received a four-hour training in organ donation education and counseling. Organ donation was measured by self-report questionnaire at 4-month posttest as well as by verified enrollment in the Michigan Organ Donor Registry.
Hair salons in Michigan urban areas.
Blacks (n = 2,449), non-Blacks (n = 261) in Michigan.
Self-reported donation status, registration in Michigan Organ Donor Registry.
At posttest, rates of self-reported positive donation status were 19.8% in the intervention group and 16.0% in the comparison group. In multivariate analyses, intervention participants were 1.7 times (95% Cl = 0.98-2.8) more likely than comparison participants to report positive donation status at posttest. Based on verified organ registry data, enrollment rates were 4.8% and 2%, respectively for the intervention and comparison groups. In multivariate analyses, intervention group members were 4.4 (95% CI = 1.3-15.3) more likely to submit an enrollment card than comparison participants.
Clients of hair stylists trained to provide brief motivational intervention for organ donation were approximately twice as likely to enroll in the donor registry as comparison clients. Use of lay health advisors appears to be a promising approach to increase donation among African Americans.
测试美发师作为初级卫生顾问以增加非裔美国客户器官捐赠的效果。
这是一项随机对照干预试验，我们将 52 家沙龙（2789 名客户）随机分为接受 4 节、美发师提供的健康教育项目（对照组）或 4 节鼓励器官捐赠的简短动机干预组（干预组）。干预美发师接受了 4 小时的器官捐赠教育和咨询培训。通过 4 个月后的自我报告问卷调查以及密歇根器官捐赠登记处的核实登记来衡量器官捐赠情况。
密歇根城市地区的美发沙龙。
密歇根的黑人（n=2449）和非黑人（n=261）。
自我报告的捐赠状况，密歇根器官捐赠登记处的登记情况。
在测试后，干预组的自我报告积极捐赠率为 19.8%，对照组为 16.0%。在多变量分析中，干预组参与者比对照组参与者更有可能在测试后报告积极的捐赠状况，其比值比为 1.7（95%可信区间为 0.98-2.8）。根据经核实的器官登记数据，干预组和对照组的登记率分别为 4.8%和 2%。在多变量分析中，干预组成员提交登记卡的可能性比对照组高 4.4 倍（95%可信区间为 1.3-15.3）。
接受过提供简短动机干预以进行器官捐赠培训的美发师的客户，其在登记处登记的可能性比对照组客户高约两倍。使用初级卫生顾问似乎是增加非裔美国人捐赠的一种有前途的方法。
